D

St. Joseph's Hospital - Skilled Nursing Facility

555 St. Joseph's Boulevard, Elmira, NY 14902
Score: 49 / 100

CMS data shows St. Joseph'S Hospital - Skilled Nursing Facility earning a D grade with a score of 49/100, placing it below most facilities in New York. Prospective residents and families should carefully review the specific areas of concern detailed below.

Recent inspections identified 11 deficiencies at St. Joseph'S Hospital - Skilled Nursing Facility. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

11
Total Deficiencies
Jul 25, 2024
Most Recent Inspection
⚪ 2 Minor 🟠 9 Moderate
View recent deficiencies (5 shown)
  • Tag 0655 Severity E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Jul 25, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0836 Severity D
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, Sta
    Jul 25, 2024 · Administration Deficiencies
  • Tag 0760 Severity G
    Ensure that residents are free from significant medication errors.
    Mar 31, 2022 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 31, 2022 · Nutrition and Dietary Deficiencies
  • Tag 0607 Severity E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Jan 23, 2020 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.3% 4.5% Worse
Falls with major injury 6.6% 3.0% Worse
On antipsychotic medication 18.4% 14.5% Worse
Urinary tract infections 4.5% 2.5% Worse
ADL decline (daily activities) 20.2% 14.0% Worse
Excessive weight loss 1.4% 7.5% Better
New/worsened incontinence 21.6% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $4,194

How This Grade Was Calculated

This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
85
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 25, 2024
Deficiencies (Cycle 1)
3